Individual
DR. KYLE W. GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 S NATIONAL AVE STE 700, SPRINGFIELD, MO 65807-5279
(417) 269-8817
(417) 269-8744
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001014625
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176566
BCMO
MO
05
—
200659803
—
MO
Enumeration date
10/12/2006
Last updated
01/11/2023
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